Membership Application - Arapawa Goat Breeders
OR
Make checks payable to: Arapawa Goat Breeders  and mail to 5555 Zoo Blvd. Wichita, KS 67212

Owner memberships have access to:

- Free registrations

- Free registration transfers

- Access to the Arapawa Goat Breeders Association - Members ONLY Facebook Page

Sign in to Google to save your progress. Learn more
Email *
Membership Class (Check one) *
Member Name/Contact *
Herd Name
Herd Prefix - must submit 2 options, you will be notified which of the 2 is approved. Have the first option be your top choice (May be 2-4 characters using a combo of minimum one letter, may use numbers ex. CP, R3H, UAC... ). 
Full address (Street, State, Zip) *
Telephone *
Alternative phone
Website, social media platform and tags
I would like to be added to a Members Directory on the AGBA website where my name, farm name (if applicable), state, email and social platforms will be shared. *This is updated only twice a year*
Clear selection
I would like to be added to a Members Directory as an Associate member on the AGBA website to show support and have my name, state, and email shared. *This is updated only twice a year*
Clear selection
I would like to be added to a Breeders Directory on the AGBA website where my name, farm name (if applicable), state and city, email and socials will be shared. *This is updated only twice a year and is intended for breeders who intend to have goats available or hold a waitlist*
Clear selection
I wish to become or renew my membership for the coming year accepting the obligations of membership as listed in the ByLaws of 08/15/2020. Annual dues are due in January for the calendar year. Dues paid after October 1st cover the following years dues. By typing my name, I understand and agree to the above. 
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report